Pass Med Obs

Question 1

What are the main causes of bleeding

Answer 1

The 4 Ts tone tissue trauma thrombin

Question 2

An US is indicated if Loch is persists beyond

Answer 2

6 weeks

Question 3

Screening tool for postnatal depression

Answer 3

Edinburgh scale

Question 4

What should you do if the cord is palpated during labour

Answer 4

Use tocolytics to reduce core compression and allow for c section
Push presenting part of foetus up and back into uterus leaving the cord behind to prevent compression
Advise the patient to go on all 4s

Question 5

How are heparin levels monitored in a patient with a DVT

Answer 5

Anti Xa

Question 6

Why are footling presentations so risky

Answer 6

5-20% risk of prolapse of cord

Question 7

How often should T1DM patients monitor their glucose when pregnant

Answer 7

Daily fasting, pre meal, 1 hour post meal and bedtime tests

Question 8

How do you treat group b strep in pregnant woman

Answer 8

Intrapartum IV benpen

Question 9

When in an antenatal apt does the patient get a urine culture to detect asymptomatic bacterium is

Answer 9

8-12 weeks

Question 10

When does the pt get a second screen for anaemia and atypical red cell alloantibodies

Answer 10

28 weeks

Question 11

When is the earliest you could manually move the baby if breech

Answer 11

36 weeks to see if the baby moves them self

Question 12

When do non sensitised Rneg patients get anti D

Answer 12

28 weeks

Question 13

Give anti d when

Answer 13

Any delivery miscarriage TOP ectopic external cephalon version antepartum haemorrhage amniocentesis CVS FBS abdo trauma

Question 14

Treat PPH first line

Answer 14

Syntocinin and ergometrine

Question 15

What should you do if a patient has come into contact with rubella or may have it

Answer 15

Contact local health protection unit

Question 16

Hypoglycaemic safe in breast feeding

Answer 16

Met form in

Question 17

In seizures how long should the pt be on mg sulphate

Answer 17

Continue for 24 hours after delivery or after last seizure

Question 18

What would happen to AFP oestriol HCG pAppa and NT in downs

Answer 18

AFP low 
Low oestriol 
High hcg 
Low pAppa 
Thickened NT

Question 19

More than half of cord prolapses occurs after

Answer 19

Artificial ROM

Question 20

Which antibiotic for premature rupture of membranes

Answer 20

Erythromycin 10 days

Question 21

Can you give the MMR vaccine during pregnancy

Answer 21

No and after having it you cannot become pregnant for 28 days

Question 22

A woman at moderate or high risk of preeclampsia should take aspirin at what dose and from when

Answer 22

75mg daily from 12 weeks to birth

Question 23

What is chorioamnionitis

Answer 23

Uterine tenderness and foul smelling discharge

Question 24

What is the wood screw manoeuvre

Answer 24

Putting hand in vagina in should dystocia and rotating the foetus 180 degrees in attempt to dislodge the anterior shoulder from the pubic symphysis

Question 25

When does preganncy related hypertension occur

Answer 25

At least 20 weeks gestation so anything before that is pre existing

Question 26

What is an absolute contraindication to vaginal delivery

Answer 26

Previous vertical c section scar
Previous uterine rupture
Placenta previa

Question 27

Treat mg sulphate induced Resp depression

Answer 27

Calcium gluconate

Question 28

What happens normally in pregnancy to urea creatinine and urinary protein loss

Answer 28

Reduced urea
Reduced creatinine
Increased urinary protein loss

Question 29

If you suspect endometriosis after birth do what

Answer 29

Admit for IV abx